The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future Research

Introduction and purpose: Colorectal cancer (CRC) is one of the most common neoplasms in the world. In Poland, CRC has a third place in incidence. There are numerous well-established risk factors for CRC, such as a western diet, low physical activity, alcohol consumption, and cigarettes smoking. Cu...

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Main Authors: Karol Zagórski, Mateusz Kozik, Nina Skalska-Dziobek, Weronika Małagocka, Karolina Chybowska, Maria Naruszewicz, Przemysław Cetnarowski
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-02-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57935
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author Karol Zagórski
Mateusz Kozik
Nina Skalska-Dziobek
Weronika Małagocka
Karolina Chybowska
Maria Naruszewicz
Przemysław Cetnarowski
author_facet Karol Zagórski
Mateusz Kozik
Nina Skalska-Dziobek
Weronika Małagocka
Karolina Chybowska
Maria Naruszewicz
Przemysław Cetnarowski
author_sort Karol Zagórski
collection DOAJ
description Introduction and purpose: Colorectal cancer (CRC) is one of the most common neoplasms in the world. In Poland, CRC has a third place in incidence. There are numerous well-established risk factors for CRC, such as a western diet, low physical activity, alcohol consumption, and cigarettes smoking. Currently, the role of the colonic microbiome and the overuse of antibiotics is also highlighted in the pathogenesis of CRC. This review aims to assess the impact of antibiotic use on CRC risk, clinical characteristics, and pathological features.   Material and methods: A comprehensive literature search was conducted through the following databases: PubMed, Cochrane Library, Embase, and Google Scholar. Systematic reviews, meta-analyses, clinical trials and observational studies were included if they were relevant and provided data on the influence of antibiotics on CRC.   State of knowledge: This review identified several key systematic reviews with meta-analyses of observational studies indicating that antibiotics have an impact on the onset, time of development, and localisation of CRC. The classes and spectrum of antibiotics were found to differ in the risk of occurrence of CRC.   Summary: Recently, great progress has been made in understanding a variety of antibiotics-microbiota-cancer interactions. However, further research is needed to deepen our knowledge about the contribution of antibiotic use to CRC. Clinicians should carefully consider the benefits and risks of prescribing antibiotics, including possible long-term adverse events such as cancer onset.
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spelling doaj-art-7dd40b2f690745ce84588cff4356d53e2025-02-12T08:26:16ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-02-013810.12775/QS.2025.38.57935The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future ResearchKarol Zagórski0https://orcid.org/0009-0000-6407-8075Mateusz Kozik1https://orcid.org/0009-0002-6078-2836Nina Skalska-Dziobek2https://orcid.org/0009-0005-3755-0350Weronika Małagocka3https://orcid.org/0009-0008-3714-9278Karolina Chybowska4https://orcid.org/0009-0006-0660-2645Maria Naruszewicz5https://orcid.org/0009-0005-2417-6937Przemysław Cetnarowski6https://orcid.org/0009-0007-1940-0003Edward Szczeklik Specialist Hospital in Tarnów, PolandStefan Żeromski Specialist Hospital in Cracow, PolandEdward Szczeklik Specialist Hospital in Tarnów, PolandStefan Żeromski Specialist Hospital in Cracow, PolandUniversity Clinical Hospital in Bialystok, PolandUniversity Hospital in Cracow, PolandGabriel Narutowicz Specialist Municipal Hospital in Cracow, Poland Introduction and purpose: Colorectal cancer (CRC) is one of the most common neoplasms in the world. In Poland, CRC has a third place in incidence. There are numerous well-established risk factors for CRC, such as a western diet, low physical activity, alcohol consumption, and cigarettes smoking. Currently, the role of the colonic microbiome and the overuse of antibiotics is also highlighted in the pathogenesis of CRC. This review aims to assess the impact of antibiotic use on CRC risk, clinical characteristics, and pathological features.   Material and methods: A comprehensive literature search was conducted through the following databases: PubMed, Cochrane Library, Embase, and Google Scholar. Systematic reviews, meta-analyses, clinical trials and observational studies were included if they were relevant and provided data on the influence of antibiotics on CRC.   State of knowledge: This review identified several key systematic reviews with meta-analyses of observational studies indicating that antibiotics have an impact on the onset, time of development, and localisation of CRC. The classes and spectrum of antibiotics were found to differ in the risk of occurrence of CRC.   Summary: Recently, great progress has been made in understanding a variety of antibiotics-microbiota-cancer interactions. However, further research is needed to deepen our knowledge about the contribution of antibiotic use to CRC. Clinicians should carefully consider the benefits and risks of prescribing antibiotics, including possible long-term adverse events such as cancer onset. https://apcz.umk.pl/QS/article/view/57935Colorectal cancerAntibioticsGut microbiotaDysbiosis
spellingShingle Karol Zagórski
Mateusz Kozik
Nina Skalska-Dziobek
Weronika Małagocka
Karolina Chybowska
Maria Naruszewicz
Przemysław Cetnarowski
The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future Research
Quality in Sport
Colorectal cancer
Antibiotics
Gut microbiota
Dysbiosis
title The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future Research
title_full The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future Research
title_fullStr The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future Research
title_full_unstemmed The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future Research
title_short The Impact of Antibiotics on the Development of Colorectal Cancer – A Review of Current Insights and Directions for Future Research
title_sort impact of antibiotics on the development of colorectal cancer a review of current insights and directions for future research
topic Colorectal cancer
Antibiotics
Gut microbiota
Dysbiosis
url https://apcz.umk.pl/QS/article/view/57935
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